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Med Surg 2 > Exam 1 Review > Flashcards

Exam 1 Review Flashcards

1
Q

shift of bands greater than 6% indicates

A

infection

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2
Q

What is the treatment for sinus tachycardia?

A

find underlying cause

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3
Q

What’s the treatment for torsades?

A

magnesium

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4
Q

What is the antagonist for Versed, Valium and Ativan?

A

flumazenil or rozimcon

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5
Q

Most accurate O2 delivery?

A

venturi mask

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6
Q

Highest delivery of O2 using low-flow oxygen (aka excluding CPAP/BIPAP, high flow cannula, vented trach and ET tube ventilation)

A

non rebreather

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7
Q

how much can non rebreather give

A

10-15

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8
Q

Proper inflation of ET cuff? What happens if overinflated?

A

20-25
necrosis

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9
Q

What are some causes of metabolic alkalosis?

A

-Loss of gastric acid from vomiting
-Diuretics that lead to hypokalemia
-Burns that lead to volume depletion
-Antacid overdose
-Primary hyperaldosteronism

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10
Q

Elevated leads in an anterior vs inferior MI

A

Inferior MI- shows in leads II, III and AVF
Anterior MI- shows in leads V2, V3, and V4 (sometimes V5 and V6 if severe)

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11
Q

Geriatric population is prone to which acid-base disorder?

A

Metabolic acidosis and dehydration due to decreased function of renal tubules

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12
Q

Why are geriatric patients more at risk for negative effects due to polypharmacy?

A

Decreased liver function

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13
Q

main problem with a fib

A

problem with the atrias

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14
Q

what are a fib at risk for

A

blood clots
mural thrombi

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15
Q

treatment for 3rd degree

A

pacemaker

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16
Q

sinus bradycardia is caused by

A

hypoxia

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17
Q

afterload is

A

force the heart pumps against

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18
Q

prelaod

A

degree of stretch

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19
Q

anterior MI

A

V2, V3, V4

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20
Q

inferior MI

A

2, 3, avf

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21
Q

most accurate way to recieve oxygen

A

venturi

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22
Q

most amount to recieve oxygen

A

non rebreather

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23
Q

inflate ET to much

A

necrosis

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24
Q

after putting an ET in what should we do

A

listen for breath sounds

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25
Q

how to treat sinus tach

A

underlying cause
- fever, meds, exercise, anxiety

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26
Q

difference between sinus arrhythmia and sinus rhythm

A

arrhythmia is IRREGULAR

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27
Q

what happens with the P and T wave in SVT

A

blend together

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28
Q

what will you not see in junctional

A

P wave

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29
Q

couplet

A

2 next to each other

30
Q

bigeminy

A

every second beat

31
Q

trigeminy

A

every third beat

32
Q

what is the first thing you do in Vtach

A

assess your patient for a pulse

33
Q

treatment for Vtach with a pulse

A

adenosine
cardioversion
valsalva mauver

34
Q

treatment for Vtach without. pulse

A

CPR and defibrillator

35
Q

treatment for torsades

A

cardioversion and mag

36
Q

cause of torsades

A

QT prolongation, meds, hypokalemia, subarachnoid bleed

37
Q

course v fib is called

A

undefinable

38
Q

what do we do if someone is in vfib

A

assess pulse
* should be pulsless

39
Q

first degree AV block

A

long PR interval
over 0.20

40
Q

second degree type 1

A

long PR and get longer and then drops QRS

41
Q

2nd degree type 2 how does the PR look

A

fixed but you just have random drops

42
Q

3rd degree how will it look

A

everything is there just random
not in synch

43
Q

treatment for third degree

44
Q

only difference between BBB and idioventricular is the

A

P wave in BBB

45
Q

normal AV paced is called

46
Q

failure to sense undersensing

A

decrease MV which increases sensitivity

47
Q

failure to sense over sensing

A

increase MV which decreases sensivitvuty

48
Q

how will a failure to caputure look

A

spikes in correct spot but no following waves

49
Q

what to avoid with a pacemaker

A

large magnet fields

50
Q

V fib first thing

51
Q

hold what meds with bradycardia

A

blood pressure meds

52
Q

mallampadi score

A

1 is easy
4 is hardest

53
Q

reversal agents

A

narcan: opoids
flumazenil: benzo

54
Q

how to confirm Et

A

X ray and breathsoinds

55
Q

what if you have ET but don’t hear breathsounds

A

in too deepo

56
Q

ET tube infation

57
Q

elderly decrease function of what organ due to what

A

kidney/ M. acidosis
liver/polypharm

58
Q

hypoxia criteria

A

less than 80

59
Q

severe hypoxia criteria

A

less than 60

60
Q

how far above should the ET tube be

A

4cm above carina

61
Q

ASA sedation score

A

1: healthy
5: dying with out surgery

62
Q

how to find CO

A

HR X Stroke volumec

63
Q

categories for stroke volume

A

preload
afterload
contracility

64
Q

capture definition

A

hearts response to pacemaker stimuli

65
Q

sensing

A

detect electrical activity

66
Q

transcutaneous pacemaker

A

on the skin

67
Q

epicardial pacemaker

A

after heart surgery

68
Q

transvenous pacemaker

A

in surgery

69
Q

most physiologic pacing

70
Q

monitor after PTCA for

71
Q

what can cause metabolic alkalosis

A

vomiting
diuretics - hypokalemia
burns
antacids
primary hyperaldosteronism

Med Surg 2 (29 decks)

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